Lush, Marze
Lush, Marze is an individual health care provider with primary practice located at 1395 N Courtenay Pkwy Ste 100 , Merritt Island FL 32953-4474. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lush, Marze can be contacted via phone (321) 453-5252.Contact Information
Primary practice address
1395 N Courtenay Pkwy Ste 100
Merritt Island FL 32953-4474
Phone: (321) 453-5252
Fax: (321) 453-5152
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA 9103770 | Florida |
Profile Details
NPI number | 1912127911 |
---|---|
LBN Legal business name | Lush, Marze |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 1st, 2007 |
Last updated | Mar 6th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912127911 | NPPES |
Florida | Other | FN556Y | PTAN |
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